Individual provider Active NPI

Cameron Ryan Baker, DDS

  • Dentist
  • Linden, TN
National Provider Identifier
1639609506
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10521 Issued in TN
Practice address
153 W Main St Ste 100
Linden, TN 37096-7001
Phone
(931) 589-2104
NPI assigned
Jun 14, 2017
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10521 TN Primary

Addresses

Primary practice location

153 W Main St Ste 100
Linden, TN 37096-7001

Mailing address

153 W Main St Ste 100
Linden, TN 37096-7001
Phone (931) 589-2104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250808002500 TN Practitioner - Dentist 6103324173 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Perry County Medical Center, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Perry County Medical Center Inc Current Accepting new patients
Perry County Medical Center, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Baker Family Dentistry, PLLC PastSince Jan 19, 2025 Accepting new patients

Locations

115 E Brooklyn St
Linden, TN 37096
Phone (615) 589-2104

153 W Main St
Ste 100
Linden, TN 37096
Phone (931) 589-2104

7723 Clearview Church Ln
Ste 200
Lyles, TN 37098
Phone (931) 670-8318

Interoperability endpoints

  • Direct secure messaging: cameron.baker.p1@direct.trchg.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/1954/brand/1/csg/41/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1639609506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 W MAIN ST STE 100",
            "city": "LINDEN",
            "state": "TN",
            "postal_code": "370967001",
            "telephone_number": "931-589-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 W MAIN ST STE 100",
            "city": "LINDEN",
            "state": "TN",
            "postal_code": "370967001",
            "telephone_number": "931-589-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "CAMERON",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "10521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, TN

Sources for this page

Verify at the official NPI Registry.